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Ambulatory Surgical Center of Aiken

MGR - UTILIZATION REVIEW / MGMT

Career Insights for Clinical Auditor / Utilization Reviewer

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Based on Indiana data

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What they do

A Clinical Auditor or Utilization Reviewer reviews the efficiency of healthcare delivery. Individuals tend to have had experience as a registered nurse or other healthcare delivery roles before transferring into this quality review role.

$87,063 / year median in Indiana

-8% projected decline

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Job Description

Responsibilities The Utilization Management Manager oversees utilization management including, but not limited to: utilization review, case documentation, payer relationships, regulatory requirements, staff management and department administration. Supports the overall success of the hospital and promotes patient satisfaction, regulatory compliance and optimal reimbursement. Qualifications
QUALIFICATIONS
Education :
Must have Registered Nurse license or Master's Degree.
Experience:
5-7 yrs acute inpatient psychiatric setting as a treatment team member experience or 3-5 years of experience in utilization management for both mental health and substance abuse behavioral health disorders experience.
Work Location:
In person
Qualifications:
QUALIFICATIONS
Education :
Must have Registered Nurse license or Master's Degree.
Experience:
5-7 yrs acute inpatient psychiatric setting as a treatment team member experience or 3-5 years of experience in utilization management for both mental health and substance abuse behavioral health disorders experience.
Work Location:
In person